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DAVID RAINES COMMUNITY HEALTH CENTER INC

Community/Retail Pharmacy

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

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Contact Information

DAVID RAINES COMMUNITY HEALTH CENTER INC
1625 DAVID RAINES RD
SHREVEPORT, LA  71107-5899
 Phone: 318-227-3355
 Fax: 318-227-3356
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

 3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

 3336C0002X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

 3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

 333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for DAVID RAINES COMMUNITY HEALTH CENTER INC

NPI Number 1861415721
LBN Legal business name DAVID RAINES COMMUNITY HEALTH CENTER INC
Authorized official WILLIE WHITE - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/25/2006
Last updated 12/22/2016 - About 9 years ago
Identifiers
LA License # PHY.005457-IR
LA Medicaid 1233358
Other 2035347 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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